Urethral Mobilization for Distal and Mid Shaft Hypospadias with Chordee

Koenig, Joel F.; Kottwitz, Michael; McKenna, Patrick H.

doi:10.1016/j.juro.2013.02.038

Cited by 12 publications

(8 citation statements)

References 19 publications

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“…Thus, the fear of devascularization due to urethral mobilization seems to be unfounded 2 . On the otherhand, the natural elasticity of the urethra is the main factor for using this technique and the continuing growth of the spongy urethra keeps pace with the general growth of the child 8,12 .…”

Section: Discussionmentioning

confidence: 99%

“…The advantages of this technique are-making a new urethra in one stage, fistula formation is not expected, glans shape is not a factor (Flat, conical, deeply grooved), ability to remove dysplastic ventral elements, if present; limited mobilization of urethra with preservation of blood supply, short duration of hospital stay, can be performed in previous circumcision and hypospadias surgery patient 1,8 .…”

Section: Volume 16 Issue 1 January 2017mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…The elasticity and rich proximal blood supply of the urethra have been demonstrated anatomically and many studies show that it may be safely mobilized in hypospadias repair 8 . The extent of mobilization varies from minimal distal mobilization to more extensive dissection down to the bulbar urethra 2,8 . Urethral mobilization and meatal advancement with many modifications was found to be a safe procedure in distal hypospadias repair [9][10][11][12] We present our experience with limited urethral mobilization for distal hypospadias repair with the hypothesis that maximizing the use of native urethra would minimize complications.…”

Section: Introductionmentioning

confidence: 99%

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Limited Urethral Mobilization Technique in Distal Hypospadias Repair : An Overview

Chakraborty

Majumdar

Zahid

et al. 2017

Chatt Maa Shi Hosp Med Coll J

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Background: Fistula formation is the most common complication with various rates among different techniques of hypospadias repair. The urethral advancement as an one stage technique for repair of hypospadias is considered a good technique. As no new urethral tube is constructed there is no risk of fistula. We assess the outcomes of the Limited Urethral Mobilization (LUM) technique in distal hypospadias repair. Methods: Our study included 20 patients aged upto 12 years who were treated with Limited urethral mobilization technique for distal hypospadias in Shaheed Suhrawardy Medical College Hospital from December 2014 to December 2015. The urethra proximal to the meatus was mobilized for a distance sufficient to allow it to reach the glans tip without tension. Then the urethra was placed in the glanular bed and glanular reconstruction was performed. Results: Three-fold urethral mobilization was sufficient for construction of tension-free urethra-glanular anastomosis. Cosmetically normal looking circumcised penis with ventrally slit meatus achieved in all but one subcoronal case where the most distal of the glans approximation sutures disrupted leading to a minor detachment in the glans. The minor complications includes preputial edema in one patient, two patients had wound infection, one had meatal stenosis which was treated with gentle dilatations. Postoperative urethro cutaneous fistula, retraction of the urethral meatus or recurrent chordee were not observed. Conclusion: Distal hypospadias repair with the LUM technique can be effective with satisfactory cosmetic and functional results. There is no chance for development of urethro cutaneous fistula, a major postoperative complication of other surgical techniques of creating a neourethra. Postoperative management is simple and a brief hospital stay is sufficient.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Volume 16 Issue 1 January 2017mentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Limited Urethral Mobilization Technique in Distal Hypospadias Repair : An Overview

Chakraborty

Majumdar

Zahid

et al. 2017

Chatt Maa Shi Hosp Med Coll J

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“…26,27 The continuous growth of native elastic, spongy urethra that keeps pace with general growth of the child is also the benefit of this technique. 26,28 Similar to many other series, the patients with mild chordee, torsion, previously circumcised and previous unsuccessful surgery for hypospadias were included in our study. We used this technique in eleven patients with complete or partial glanular disruption and achieved very good cosmetic and function outcome.…”

Section: Discussionmentioning

confidence: 99%

The outcome of limited urethral mobilization urethroplasty for anterior hypospadias.

Rehman¹,

Makki²,

Ishtiaq

et al. 2020

TPMJ

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Objectives: Hypospadias, one of the most common genital anomalies, is characterized by an abnormal meatal opening on the ventral aspect of penis. Anterior hypospadias are the most common. Most of the surgical techniques involves the construction of neourethra with significant risk of urethrocutaneous fistula. Limited urethral mobilization technique involves the advancement of native urethra. Study Design: The objective of this study was to evaluate the outcome of Limited Urethral Mobilization Urethroplasty for Anterior Hypospadias. Setting: The study was conducted in the Department of Paediatric Surgery, DHQ teaching Hospital Sahiwal. Period: From January 2016 to December 2018. Material & Methods: A total number of 187 patients were included in this study. Limited urethral mobilization technique was used in all patients. Minimum age was 2.5 Years and maximum age was 12 years. Cosmetic appearance, functional outcome and complication rate were assessed. Results: Wound infection developed in 3.20 %( n=6) patients. Complete glanular disruption was seen in 2.13 %( n=4) patients. Partial disruption of glans with meatal retraction was observed in 1.60 %( n=3) patients. Post-operative haematoma was seen in 1.60 %( n=3) patients. Meatal stenosis in 1.06 %( n=2) patients. Post-operative bleeding and diverticula was observed in 0.5 %( n=1) patients each. Vertical oriented, slit like meatus at the tip of glans was achieved in 95.72 %( n=179) patients. Conclusion: Limited urethral mobilization urethroplasty is a technique with proven benefits and effectiveness in the terms of cosmesis and functional outcome with a minimal number of complications because of the usage of native elastic urethra.

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Urethral Advancement for Treatment of Distal Hypospadias

Haxhija,

McKenna

2022

Hypospadias Surgery

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Urethral Mobilization for Distal and Mid Shaft Hypospadias with Chordee

Cited by 12 publications

References 19 publications

Limited Urethral Mobilization Technique in Distal Hypospadias Repair : An Overview

Limited Urethral Mobilization Technique in Distal Hypospadias Repair : An Overview

The outcome of limited urethral mobilization urethroplasty for anterior hypospadias.

Urethral Advancement for Treatment of Distal Hypospadias

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